Iguchi Toshihiro, Asami Shinya, Kubo Shinichiro, Kin Hitoshi, Katusi Kuniaki, Sakurai Jun, Hiraki Takao, Kanazawa Susumu
Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho, Fukuyama 721-8511, Japan.
Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1277-9. doi: 10.1007/s00270-007-9036-3.
A 66-year-old man underwent CT-guided drainage catheter placement within a pelvic abscess with a diameter of 46 mm. We performed the drainage by a transsacral approach because it was considered the safest and most feasible approach. An 8G bone marrow biopsy needle was used to penetrate the sacrum to create a path for subsequent drainage catheter insertion. After withdrawal of the biopsy needle, a 6 Fr catheter was advanced into the abscess cavity through the path using the Seldinger technique. Except for bearable pain, no procedure-related complications occurred. Twenty-nine days after the placement, the catheter was withdrawn safely and the abscess cavity had shrunk remarkably.
一名66岁男性接受了CT引导下经皮穿刺引流管置入术，该脓肿位于盆腔，直径46mm。我们采用经骶骨入路进行引流，因为这被认为是最安全且最可行的方法。使用一根8G骨髓活检针穿透骶骨，为后续引流管的插入开辟路径。在活检针撤出后，采用Seldinger技术通过该路径将一根6Fr导管推进至脓肿腔内。除了可耐受的疼痛外，未发生与手术相关的并发症。置管29天后，导管被安全拔除，脓肿腔明显缩小。
